COVID-19 SERVICE UPDATE - WE CONTINUE TO OFFER GREAT SAVINGS DURING THE PANDEMIC!

Shipping Update - May 1 2022

Shipping times are now closer to normal. However, due to the latest outbreak of the highly contagious Omicron strain, some delays in shipping times may still occasionally occur. We will provide updates as the situation changes.

Our normal shipping time averages 1 - 2 weeks. Shipments may sometimes take an additional 2 weeks to arrive, depending on the source country of your order.

Please note that these times are averages and individual shipping times will vary. We recommend that you place your order at least 2 - 4 weeks or more ahead of your normal reorder time to avoid running out of your medication.

We offer a shipping guarantee when you place an order with us. If your order does not arrive within 6 weeks from the date it was shipped, we will re-ship your order to you at no additional cost.

Call Center - New Hours effective April 1, 2022

Our call center hours of operation are now 6:00 am - 9:00 pm Central Time on Monday to Friday, and 7:00 am - 7:00 pm Central Time on Saturday and Sunday.

If you are experiencing increased hold times or are calling outside of these hours, please leave us a message or send us an email and we will get back to you as soon as we can. Due to increased demand on telephone networks worldwide, you may experience some intermittent connection problems. If this happens our agents will call you back.

Our Commitment

If you have any questions about any changes in our service please do not hesitate to contact us. Our staff are working tirelessly to ensure the timely fulfillment and delivery of all orders. The health and safety of our customers and staff is our highest priority and we remain committed to providing service at the highest level.

We appreciate your business and thank you for your continued support.

Management and Staff
Medix Pharmacy

Spiriva Respimat
(Tiotropium Bromide)

Prescription Settings Edit

Brand Name Choices

Spiriva Respimat 2.5mcg/Inh
Spiriva Respimat 2.5mcg/Inh Metered-Dose Inhaler

Tiotropium Bromide

Manufactured by Boehringer Ingelheim

Product of New Zealand

Dispensed by an international pharmacy partner

* This product includes a dose gauge.

Prescription Required

Spiriva Respimat 2.5mcg/Inh
Spiriva Respimat 2.5mcg/Inh Metered-Dose Inhaler

Tiotropium Bromide

Manufactured by Boehringer Ingelheim

Product of Canada

Dispensed by an approved Canadian pharmacy partner

* This product includes a dose counter.

Prescription Required

Spiriva Respimat 2.5mcg/Inh
Spiriva Respimat 2.5mcg/Inh Metered-Dose Inhaler

Tiotropium Bromide

Manufactured by Boehringer Ingelheim

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

* This product does not include a dose counter

Prescription Required

Parallel Import

More Brand Name Choices

Generic Choices

No generic medication is available for Spiriva Respimat (Tiotropium Bromide)

What Spiriva Respimat is and what it is used for

Spiriva Respimat helps people who have chronic obstructive pulmonary disease (COPD) or asthma to breathe more easily. COPD is a long-term lung disease that causes shortness of breath and coughing. The term COPD is associated with the conditions chronic bronchitis and emphysema. Asthma is a long-term disease characterised by airway inflammation and narrowing of the airways. As COPD and asthma are long-term diseases you should use Spiriva Respimat every day and not only when you have breathing problems or other symptoms. When used to treat asthma you should use Spiriva Respimat in addition to so-called inhaled corticosteroids and long-acting ß2 agonists. Spiriva Respimat is a long-acting bronchodilator that helps to open your airways and makes it easier to get air in and out of the lungs. Regular use of Spiriva Respimat can also help you when you have on-going shortness of breath related to your disease, and will help to minimise the effects of the disease on your everyday life. Daily use of Spiriva Respimat will also help to prevent any sudden, short-term worsening of your COPD symptoms which may last for several days. For correct dosing of Spiriva Respimat please see section 3. How to use Spiriva Respimat and the instructions for use provided on the other side of the leaflet

How to take Spiriva Respimat

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Spiriva Respimat is for inhalation use only. The recommended dose for patients 6 years and older is: Spiriva Respimat is effective for 24 hours so you will need to use Spiriva Respimat only ONCE A DAY, if possible at the same time of the day. Each time you use it take TWO PUFFS. As COPD and asthma are long-term diseases use Spiriva Respimat every day and not only when you experience breathing problems. Do not use more than the recommended dose. Spiriva Respimat is not recommended for use in children below 6 years due to lack of data on safety and efficacy. Make sure that you know how to use your Spiriva Respimat inhaler properly. The instructions for use of the Spiriva Respimat inhaler are provided on the other side of this leaflet. If you use more Spiriva Respimat than you should If you use more Spiriva Respimat than two puffs in one day talk to your doctor immediately. You may be at a higher risk of experiencing a side effect such as dry mouth, constipation, difficulties passing urine, increased heart beat or blurred vision. If you forget to use Spiriva Respimat If you forget to take a dose (TWO PUFFS ONCE A DAY), take it as soon as you remember but do not take two doses at the same time or on the same day. Then take your next dose as usual. If you stop using Spiriva Respimat Before you stop using Spiriva Respimat, you should talk to your doctor or your pharmacist. If you stop using Spiriva Respimat the signs and symptoms of COPD and asthma may worsen. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Evaluation of the side effects is based on the following frequencies:

Common: may affect up to 1 in 10 people

Uncommon: may affect up to 1 in 100 people

Rare: may affect up to 1 in 1,000 people

Not known: frequency cannot be estimated from the available data The side effects described below have been experienced by people taking this medicine and they are listed according to frequency as either common, uncommon, rare or not known. Side effect Frequency COPD Frequency Asthma Dry mouth

Common

Uncommon Hoarseness (dysphonia)

Uncommon

Uncommon Cough

Uncommon

Uncommon Headache

Uncommon

Uncommon Inflammation of the throat (pharyngitis)

Uncommon

Uncommon Painful urination (dysuria)

Uncommon

Not known Dizziness

Uncommon

Uncommon Fungal infections of the oral cavity and throat (oropharyngeal candidiasis)

Uncommon

Uncommon Difficulties passing urine (urinary retention)

Uncommon

Not known Constipation

Uncommon

Rare Rash

Uncommon

Uncommon Itching (pruritus)

Uncommon

Rare Increase of the measured eye pressure

Rare

Not known Serious allergic reaction which causes swelling of the mouth and face or throat (angioneurotic oedema)

Rare

Rare Difficulty in sleeping (insomnia)

Rare

Uncommon Irregular heart beat (atrial fibrillation, supraventricular tachycardia)

Rare

Not known Feeling your heartbeat (palpitations)

Rare

Uncommon Nosebleed (epistaxis)

Rare

Rare Inflammation of the tongue (glossitis)

Rare

Not known Faster heart beat (tachycardia)

Rare

Not known Tightness of the chest, associated with coughing, wheezing or breathlessness immediately after inhalation (bronchospasm)

Rare

Uncommon Difficulties swallowing (dysphagia)

Rare

Not known Seeing halos around lights or coloured images in association with red eyes (glaucoma)

Rare

Not known Blurred vision

Rare

Not known Inflammation of the larynx (laryngitis)

Rare

Not known Dental caries

Rare

Not known Inflammation of the gums (gingivitis)

Rare

Rare Nettle rash (urticaria)

Rare

Rare Infections or ulcerations of the skin

Rare

Not known Dryness of the skin

Rare

Not known Infections of the urinary tract

Rare

Rare Heart burn (gastrooesophageal reflux disease)

Rare

Not known Hypersensitivity, including immediate reactions

Not known

Rare Inflammation of the mouth (stomatitis)

Not known

Rare Depletion of body water (dehydration)

Not known

Not known Inflammation in sinuses (sinusitis)

Not known

Not known Blockage of intestines or absence of bowel movements (intestinal obstruction, including ileus paralytic)

Not known

Not known Feeling sick (nausea)

Not known

Not known Severe allergic reaction (anaphylactic reaction)

Not known

Not known Swelling of joint

Not known

Not known Immediate allergic reactions such as rash, nettle rash (urticaria), swelling of the mouth and face or sudden difficulties in breathing (angioneurotic oedema) or other hypersensitivity reactions (such as sudden reduction of your blood pressure or dizziness) may occur individually or as part of severe allergic reaction (anaphylactic reaction) after administration of Spiriva Respimat. In addition, in common with all inhaled medicines, some patients may experience an unexpected tightness of the chest, coughing, wheezing or breathlessness immediately after inhalation (bronchospasm). If any of these occur, please consult your doctor immediately.

Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine. United Kingdom Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store Ireland HPRA Pharmacovigilance Earlsfort Terrace, IRL – Dublin 2 Tel: +353 1 6764971 Fax: +353 1 6762517 Website: www.hpra.ie e-mail: [email protected] Malta ADR Reporting Website: www.medicinesauthority.gov.mt/adrportal

How to Store Spiriva Respimat

Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton and on the inhaler label. The expiry date refers to the last day of that month. Spiriva Respimat inhaler should be discarded at the latest 3 months after first use (see Instructions for Use overleaf). Do not freeze. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Fast Shipping

Fast Shippings

2 to 3 weeks on average

The average shipping time is 2 weeks in North America and 4 weeks internationally. We offer free shipping on all orders shipped to North America. Shipping is a flat rate of $20.00 for all other countries.

Price Match Guarantee

Price Match Guarantees

If you have been prescribed medication by your doctor and cannot afford the high price at your local pharmacy, Medix Pharmacy is the solution for you. All orders are backed with a price match and satisfaction guarantee.

Your Trusted Pharmacy Referral Service

Medix Pharmacy is an international pharmacy referral service. With a network of licensed pharmacy partners in Canada, United Kingdom, Australia, and New Zealand, we are able to help you lower the costs of your medications.

Our pharmacy partners are all thoroughly vetted and qualified to ensure that the medication you receive is cost effective, safe and effective. Because we only work with licensed pharmacies, you can rest assured that your medication is safe, effective, and genuine.

  • Free standard delivery to your door, to any international address
  • Option to add Tracked Deliveries
  • Handy reminders to re-order so you do not run out
  • Professional & Knowledgeable Customer Services Team
  • Save time, with no need for repeated trips to your physician or local drugstore

With a dedicated customer service team, free standard shipping, and a record of providing significant saving for our customers, we believe that you do not need to compromise quality or safety in your search for value.

If you are unable to find your prescribed medicine on our website, please fill out the form below and we will confirm pricing and availability within 1 business day. You may also call us at 1-866-500-6633 and one of our patient care representatives will be happy to assist you.